Pancho - BAR-ARA-70

Code: BAR-ARA-70
Mercy ID: V-01400-01
Encounter Date: 11/06/2003
Last: Barreto
First: Araceli
DOB: 12/22/1970
County: Gwinnett
Street: 479 Gainer St.
City: Buford
State: GA

Zip

30518-

Home

(770) 932-1766

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: K. Aleman